Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $39.06 / $281.42	Facility		$0.11	$39.06	$281.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.11 / $28.50	Professional		$0.10	$0.11	$28.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $95.00 / $100.00	Facility		$0.10	$95.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $306.11	Professional		$0.10	$0.10	$306.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $0.24	Facility		$0.10	$0.10	$0.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.12	Professional		$0.10	$0.10	$0.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.93 / $4.96	Facility		$0.10	$0.93	$4.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.85 / $4.34	Professional		$0.10	$0.85	$4.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $70.00 / $80.00	Professional		$30.00	$70.00	$80.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.13 / $0.25	Facility		$0.10	$0.13	$0.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.18 / $0.43 / $0.43	Facility		$0.18	$0.43	$0.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.18 / $0.23	Professional		$0.13	$0.18	$0.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.64 / $2.00	Facility		$0.10	$0.64	$2.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Professional		$0.10	$0.10	$0.10
United Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.12	Professional		$0.10	$0.10	$0.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Professional		$0.12	$0.12	$0.12